Mr. Benjamin R Proto
Podiatrist Foot & Ankle Surgery
860 Omni Blvd Suite 113
Newport News
, Virginia 23606
Mr. Benjamin R Proto
Podiatrist Foot & Ankle Surgery
860 Omni Blvd Suite 113
Newport News
, Virginia 23606
(757) 232-8866
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Mr. Benjamin R Proto
- 860 Omni Blvd Suite 303
- Newport News, VA
- Zip : 23606
- Fax : (757) 232-8866
- Phone : (757) 232-8777
Second Address
- Mr. Benjamin R Proto
- 860 Omni Blvd Suite 113
- Newport News, VA
- Zip : 23606
- Fax : (757) 327-0658
- Phone : (757) 327-0657
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103300835 | VA |
| Y | 222Z00000X | Podiatrist | 0103300835 | VA |
| N | 213ES0103X | Foot & Ankle Surgery | 0103300835 | VA |
National Provider Identifier
| NPI | 1073506291 |
|---|---|
| Provider Name | Mr. Benjamin R Proto |
| First Address | Newport News, VA 23606 |
| Second Address | Newport News, VA 23606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2005 |
| Last Update Date | 14/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1073506291 | (05) | VA |
| 236542 | ANTHEM PROVIDER NUMBER (01) | VA |
| 394596 | MDIPA/MAMSI PROVIDER NUM (01) | VA |
| 58381 | OPTIMA PROVIDER NUMBER (01) | VA |
| 9304797 | (05) | VA |
| U86239 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.